title: Impact of social discrimination, job concerns, and social support on Filipino immigrant worker mental health and substance use.
abstract: BACKGROUND
  The personal and social impact of mental health problems and substance use on workforce participation is costly. Social determinants of health contribute significantly to health disparities beyond effects associated with work. Guided by a theory-driven model, we identified pathways by which social determinants shape immigrant worker health.
  
  
  METHODS
  Associations between known social determinants of mental health problems and substance use (social discrimination, job and employment concerns, and social support) were examined using structural equation modeling in a sample of 1,397 immigrants from the Filipino American Community Epidemiological Study.
  
  
  RESULTS
  Social discrimination and low social support were associated with mental health problems and substance use (P < 0.05). Job and employment concerns were associated with mental health problems, but not substance use.
  
  
  CONCLUSIONS
  The integration of social factors into occupational health research is needed, along with prevention efforts designed for foreign-born ethnic minority workers.
authors.affiliation: Department of Psychosocial and Community Health, School of Nursing, University of Washington, Seattle, WA 98195-7263, USA. jennyt@u.washington.edu
authors.forename: Jenny Hsin-Chun
authors.initials: JH
authors.lastname: Tsai
authors.forename: Elaine Adams
authors.initials: EA
authors.lastname: Thompson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001213:Asian / Q000523:psychology*; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D006254:Hawaii / Q000453:epidemiology; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D001523:Mental Disorders / Q000208:ethnology / Q000209:etiology* / Q000523:psychology; D008875:Middle Aged; D008960:Models, Psychological; D015233:Models, Statistical; D015999:Multivariate Analysis; D009784:Occupational Diseases / Q000208:ethnology / Q000209:etiology* / Q000523:psychology; D016272:Occupational Health; D010679:Philippines / Q000208:ethnology; D012307:Risk Factors; D012495:San Francisco / Q000453:epidemiology; D063508:Social Discrimination; D012944:Social Support; D019966:Substance-Related Disorders / Q000208:ethnology / Q000209:etiology / Q000523:psychology; D055815:Young Adult
keywords: Filipino immigrant workers; SEM; mental health; social determinants; substance use; theory-driven multivariate model building